制定社区药房质量框架:对国际文献进行系统审查
Ali M K Hindi1, Stephen M Campbell2,3, Sally Jacobs4
1Centre for Pharmacy Workforce Studies, Division of Pharmacy and Optometry, The University of Manchester, Manchester, UK ali.hindi@manchester.ac.uk.
BMJ open
|February 16, 2024
概括
这一系统性审查制定了社区药房 (CP) 服务的质量框架,通过六个关键维度来定义质量,以提高患者护理和服务提供.
科学领域:
- 制药科学 制药科学
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 社区药房 (CP) 服务是医疗保健提供不可或缺的一部分.
- 定义和衡量CP服务的质量对于优化患者的治疗结果至关重要.
- 现有的框架可能无法完全捕捉到CP质量的多方面的性质.
研究的目的:
- 确定社区药房服务质量的关键特征.
- 综合证据为社区药房提供可操作,基于证据的质量框架.
主要方法:
- 从2005年起出版的国际研究证据的系统审查.
- 在六个主要数据库 (Embase,PubMed,Scopus,CINAHL,Web of Science,PsycINFO) 进行的搜索.
- 包括定性,定量和混合方法研究,通过患者和公众参与来综合和细化叙述数据.
主要成果:
- 在选超过11000篇论文后,包括了81项研究.
- 一个六维的质量框架出现了:以人为中心的护理,访问,环境,安全,能力和整合.
- 社区药房的质量定义为在综合医疗保健系统内由合格的专业人员提供的可访问,个性化,安全和有效的护理.
结论:
- 开发的框架为测量和提高社区药房服务质量的基础.
- 为了有效实施该框架,需要进行进一步的研究和本地验证.
- 该框架解决了药剂师不断变化的临床角色.
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